Paralysis Resource Guide - (Page 71) HEALTH MANAGEMENT DEPRESSION Depression is common among people who are paralyzed, but it’s not normal – becoming discouraged, grief-stricken or sad is normal, but depression represents a condition that is a health problem unto itself. Most depressions, however, can be treated. While about 11 percent of the U.S. non-disabled population is said to be moderately or severely depressed, research shows that about 20 - 30 percent of people with long-term disabilities have a depressive condition. Depression affects a person in many ways. It involves major changes in mood, outlook, ambition, problem solving, activity level and bodily processes (sleep, energy and appetite). It affects health and wellness: People with a disability who are depressed may not look after themselves; they may not drink enough water, take care of their skin, manage their diet. It affects one’s social world: Friends and families are tuned out. Depressed people can’t find pleasure, success or meaning. Substance abuse may develop. Thoughts of suicide often occur when things look most hopeless. Many factors contribute to depression. These may include the effects of disability including pain, fatigue, changes in body image, shame, and loss of independence. Other life events, such as divorce, loss of a loved one, loss of a job or financial problems can also lead to or magnify depression. “Depression is common after paralysis but not normal. It is a health problem unto itself. But depression is highly treatable with therapy and antidepressants. ” There are effective ways for helping people cope with the stresses of paralysis. Depression is highly treatable using psychotherapy, pharmacotherapy (antidepressants), or a combination of both. Tricyclic drugs (e.g., imipramine) are often effective for depression but may have intolerable side effects. SSRIs (Selective Serotonin Reuptake Inhibitors, e.g., Prozac) have fewer side effects 71
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